| Pathways Nwpa Llc | |
|
12634 Angling Rd Ste F Edinboro PA 16412-1369 | |
| (814) 273-9229 | |
| (814) 260-4276 |
| Full Name | Pathways Nwpa Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12634 Angling Rd Ste F, Edinboro, Pennsylvania |
| Authorized Official Name and Position | Janna Klinedinst (BILLING SPECIALIST) |
| Authorized Official Contact | 8149695181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Nwpa Llc 12634 Angling Rd Ste F Edinboro PA 16412-1369 Ph: (814) 273-9229 | Pathways Nwpa Llc 12634 Angling Rd Ste F Edinboro PA 16412-1369 Ph: (814) 273-9229 |
| NPI Number | 1124647227 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Medicare PECOS PAC ID | 1759709363 |
|---|---|
| Medicare Enrollment ID | O20200915000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124647227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly J Diley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497008270 PECOS PAC ID: 8527206978 Enrollment ID: I20130524000607 |
| Provider Name | Megan Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790355394 PECOS PAC ID: 1951793520 Enrollment ID: I20220112001208 |
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